Remote Medical Economics Analyst - Payment Integrity
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Presbyterian Healthcare Services is hiring a Medical Economics Analyst-Payment Integrity for a remote position based in New Mexico. The role focuses on identifying cost savings, validating payments, and aligning initiatives with total cost of care. Strong SQL/SAS skills and healthcare data expertise are required. You will collaborate with Payment Integrity, Finance, and external partners to deliver actionable insights and executive summaries on savings opportunities. #J-18808-Ljbffr Remote Jobs
- Cambia Health Solutions in the United States is hiring a Payment Integrity Nurse I to review post-service claims and ensure accurate coding within defined medical policies. The role supports patient care while maintaining compliance and high-quality review standards. You...Remote jobMedicalWork from home
- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote workMedical
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to review claims and medical records for accurate payments. The role supports post service review and coding guidelines within the Post Service Claim Review team. The position requires clinical experience,...Remote jobMedicalFlexible hours
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to perform post service reviews of... ...reimbursements. You will apply medical policies and collaborate with physician... ...experience and an unrestricted RN license. Remote work is available within Oregon and neighboring...Remote jobMedical
- ...Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must... ...finance. You will be responsible for reviewing medical correspondences, analyzing itemized bills, and determining...Remote workMedicalContract work
- ...Rialtic, Inc. Atlanta or Remote About Rialtic Rialtic... ...’s best‑in‑class payment accuracy product brings... ...with Client Experience Analysts to identify actionable... .... Values High Integrity - Do the right thing,... ...TalkSpace, Teladoc, and One Medical subscriptions. Salary...Remote workMedicalWork from homeHome office
$112.7k - $193.2k
...the product strategy for one of Optum Payment Integrity's Intelligent Fraud Detection products.... ...accurately and fairly, reducing unnecessary medical spend across the full claim lifecycle... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMedicalMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$112.7k - $193.2k
...the product strategy for one of Optum Payment Integrity's Facility Claim Review products. These... ...accurately and fairly, reducing unnecessary medical spend across the full claim lifecycle... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMedicalMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team. In this pivotal... ...-impact edit opportunities. Translate Policy: Convert medical policy, CMS rules, and coding guidance into actionable...Remote workMedicalLocal area$130k - $180k
...business in the United States! The Payment Integrity solution we provide is key to our customers... ...simultaneously #LI-MG1 #LI-REMOTE The range listed is for base compensation... ...origin, physical or mental disability, medical condition, pregnancy, genetic...Remote workMedicalPermanent employmentFull timeContract workApprenticeshipInternshipFlexible hoursShift work$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay... ...standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS &... ...of the following areas required: Medical bill auditing Experience in the...Remote workMedicalMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$120k - $130k
...develop MVP for the next generation of payment integrity solutions. Create custom " tools " for... ...we'd like to highlight: ~ Flexible remote and hybrid working options ~ Competitive... ...origin, physical or mental disability, medical condition, pregnancy, genetic...Remote workMedicalPermanent employmentFull timeApprenticeshipInternshipFlexible hoursShift work$98.2k - $163.6k
## Business Analytics Advisor, Payment Integrity - Cigna Healthcare - RemoteApplyremote type: Remotelocations: United States Work at Home: Chattanooga... ...and compliant claim adjudication while reducing unnecessary medical spend across the enterprise. Payment Integrity delivers value...Remote jobMedicalWork from home$90k - $120k
Recruiter, Payment Integrity Services Job type: Full Time · Department: People Operations · Work... ...York, United States; United States (Remote) About Alaffia & Our Mission Every year... ...Get? Competitive compensation package Medical, Dental and Vision benefits Flexible,...Remote workMedicalFull timeWork at officeFlexible hours3 days per week$118.08k - $154.98k
...re Oscar. We're hiring an Associate, Medical Economics to join our Medical Economics team.... ...Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support... ...Economics. Work Location: This is a remote position, open to candidates who reside...Remote jobMedicalFull timeWork at office$64.83k - $85.09k
...Senior Analyst, Payment Integrity Disputes Hi, we're Oscar. We're hiring a Senior Analyst, Payment... ...Pre-Pay). Work location: This is a remote position, open to candidates who reside... ...operations ~3+ years experience in medical coding ~ Medical coding certification...Remote workMedicalFull timeContract workWork at office- The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team... ...service to our customers. This is a remote position. ESSENTIAL FUNCTIONSAND RESPONSIBILITIES... ...submitted on UB’s, itemized bills and medical records to determine accuracy of...Remote workMedicalDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
$87.7k - $157.8k
...recovery, cost avoidance, and payment accuracy. You will lead a... ...progressive experience in Payment Integrity, including readmission... ...Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal,... ...approach to work with remote, hybrid, field or office work...Remote workMedicalFull timePart timeWork at officeFlexible hours$85k - $140k
...RoleAs a Mobility Tax Analyst, you will be responsible... ...and review tax payments, shadow payroll, and tax... ...systemsIdentify opportunities to integrate AI and automation into... ...) can enroll in medical, dental, and vision... ...roles that allow for “Remote” work on an exceptional...Remote workMedicalFull timeWork experience placementWork at officeWork from homeOverseasRelocation package- ...of care models, the full-time Senior Medical Economics Analyst will analyze Medicare risk models, manage... ...intelligence reports while working remotely with occasional travel. Key... ...datasets, ensuring data quality and integrity Create analytical reports and executive...Remote workMedicalFull time
$93.6k - $140.4k
...Senior Medical Economics AnalystPay Range: $93,600.00 - $140,400.00At BCBSRI... ...arrangements that include remote and hybrid opportunities and... ...the organization, you're an integral part of our team and your input... ...Senior Medical Economics Analyst to play a pivotal role in solving...Remote workMedicalWork at officeWork from homeFlexible hours1 day per week$92.4k - $120k
...Medicare Advantage, fully integrated care models, primary... ..., care for the most medically and socially complex populations... ...Senior Payroll Tax Analyst is responsible for... ..., filings, and payments.Research and update accounting... ...: Long Beach, CA; Remote, USType: Full timeRemote workMedicalFull timeFor contractorsWork experience placementInterim roleLocal area- ...TexasHybridFull Time$110k - $125kA fast-growing payments integration start-up headquartered in Houston, TX... .... This role is hybrid with remote flexibility and offers benefits including... ...Benefits: Hybrid with remote flexibility Medical, dental, vision Competitive compensation...Remote workMedicalFull timeImmediate start
- ...We’re building the universal payment layer to unify all currencies... ...reliable checkout experiences Integration - Collaborate with backend... ...PTO ~ Benefits: annual medical allowance, productivity budget... ...work hybrid in NYC; open to remote candidates for the right individual...Remote workMedicalFull timeVisa sponsorship
- ...optimization efforts, the full-time Revenue Integrity Specialist will manage reimbursement... ...internal teams to enhance cash flow and payment accuracy. Key responsibilities Conduct... ...School Graduate 3+ years of experience in a medical billing office Proficiency in Google...Remote workMedicalFull timeWork at office
- ...revenue cycle operations, the full-time remote Revenue Integrity Analyst II will analyze data, develop... ...resolve billing issues to ensure timely payment of patient accounts while... ...revenue cycle operations in acute and medical office settings Proficiency in EPIC...Remote workMedicalFull timeWork at office
$73.35k - $113.25k
...Job Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the... ...various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS &... ...more of the following areas required: Medical bill auditing Experience in the...Remote workMedicalMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$194.8k - $292.2k
...startups - use Stripe to accept payments, grow their revenue, and... ...available either in an office or a remote location (35+ miles or 56+ km... .../bonuses; 401(k) plan; medical, dental, and vision benefits;... ...people with passion, grit, and integrity. You're encouraged to apply even...Remote workMedicalInternshipWork at officeLocal areaWork from homeRelocation$90k - $140k
...systems that allow us to scale to millions of users. Integrate with 3rd party software including Payments, Accounting, CRMs, and more. Optimize our GraphQL... ...\n Additional Perks & Benefits: Market comp, medical, vision, dental. Provide direct input to overall...Remote jobMedicalFull time$120k - $140k
...represent our values of integrity, transparency, passion... ...!OverviewThe Manager, Payments Strategy will be... ...these locations. Fully remote work is not available... ...rolesExperience in payment economics: interchange... ...which includes the core medical, dental, vision, life...Remote workMedicalWork at officeLocal areaWork from home
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